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Planning & Building Department [PHONE REDACTED] 1290 S. Public Road, Lafayette, CO 80026 Email: [EMAIL REDACTED] FLOODPLAIN DEVELOPMENT PERMIT In accordance with Lafayette Code of Ordinances §26-23 - Floodplain Standards a Floodplain Development Permit shall be obtained from the Community Development Department before construction or development begins within any area of special flood hazard as recognized in the adopted Flood Insurance Study as identified in §26-23-4 of the Code of Ordinances. Project Name: Project Engineer: Address: Telephone: Email: Proposed Development Location: Please complete the following and attach any appropriate information. Also, please attach any appropriate plans drawn to scale showing the nature, location, dimensions and elevations of the area in question; existing or proposed structures; fill; storage of materials; drainage facilities; and the location of the foregoing. 1. Elevation in relation to mean sea level, of the lowest floor (including basement) of all structures: 2. Elevation in relation to mean sea level to which any structure has been flood-proofed: 3. Certification by a registered professional engineer or architect that the flood-proofing methods for any nonresidential structure meet the flood-proofing criteria of §26-23-16(b) and §26-23-17(b) of the Lafayette Code of Ordinances, whichever is applicable. 4. Description of the extent to which any watercourse will be altered or relocated as a result of the proposed development per criteria of § 26-23-19. Approved: Jeff Brasel, Planning & Building Director Date